Active NPI
Allison Norton, DMD
- Dentist
- Berea, KY
National Provider Identifier
1609433457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 10276
- Practice address
- 104 Legacy Dr
Berea, KY 40403-9594 - Phone
- (859) 986-2323
- NPI assigned
- May 28, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 10276 | KY | Primary |
Addresses
Primary practice location
104 Legacy Dr
Berea, KY 40403-9594
Mailing address
1010 Main St S
MC Kee, KY 40447-7089
Phone (859) 986-2323
Other names 1
- Allison Marcum
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190620003329 | KY | Order and Referring Only - Dentist | 3870827041 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559001600000",
"number": "1609433457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 MAIN ST S",
"city": "MC KEE",
"state": "KY",
"postal_code": "404477089",
"telephone_number": "859-986-2323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 LEGACY DR",
"city": "BEREA",
"state": "KY",
"postal_code": "404039594",
"telephone_number": "859-986-2323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORTON",
"first_name": "ALLISON",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-28",
"last_updated": "2019-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KY",
"license": "10276",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALLISON",
"last_name": "MARCUM",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Berea, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.